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psnet.ahrq.gov/node/37844/psn-pdf
June 18, 2008 - Effect of ACGME duty hours on attending physician
teaching and satisfaction.
June 18, 2008
Arora V, Meltzer DO. Effect of ACGME duty hours on attending physician teaching and satisfaction. Arch
Intern Med. 2008;168(11):1226-8. doi:10.1001/archinte.168.11.1226.
https://psnet.ahrq.gov/issue/effect-acgme-duty-hours-a…
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psnet.ahrq.gov/node/40906/psn-pdf
November 16, 2011 - What is the value and impact of quality and safety teams?
A scoping review.
November 16, 2011
White DE, Straus SE, Stelfox T, et al. What is the value and impact of quality and safety teams? A scoping
review. Implement Sci. 2011;6:97. doi:10.1186/1748-5908-6-97.
https://psnet.ahrq.gov/issue/what-value-and-impact-q…
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psnet.ahrq.gov/node/39344/psn-pdf
March 03, 2010 - Mistake-proofing healthcare: why stopping processes
may be a good start.
March 3, 2010
Grout JR, Toussaint JS. Mistake-proofing healthcare: Why stopping processes may be a good start. Bus
Horiz. 2009;53(2):149-156. doi:10.1016/j.bushor.2009.10.007.
https://psnet.ahrq.gov/issue/mistake-proofing-healthcare-why-stopp…
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psnet.ahrq.gov/node/35452/psn-pdf
January 05, 2017 - Deploying Six Sigma in a health care system as a work in
progress.
January 5, 2017
Christianson JB, Warrick LH, Howard R, et al. Deploying Six Sigma in a health care system as a work in
progress. Jt Comm J Qual Patient Saf. 2005;31(11):603-13.
https://psnet.ahrq.gov/issue/deploying-six-sigma-health-care-system-wor…
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psnet.ahrq.gov/node/42906/psn-pdf
February 27, 2014 - From heroism to safe design: leveraging technology.
February 27, 2014
Pronovost P, Bo-Linn GW, Sapirstein A. From heroism to safe design: leveraging technology.
Anesthesiology. 2014;120(3):526-9. doi:10.1097/ALN.0000000000000127.
https://psnet.ahrq.gov/issue/heroism-safe-design-leveraging-technology
This commentar…
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psnet.ahrq.gov/node/38171/psn-pdf
June 29, 2009 - An educational and audit tool to reduce prescribing error
in intensive care.
June 29, 2009
Thomas AN, Boxall EM, Laha SK, et al. An educational and audit tool to reduce prescribing error in
intensive care. Qual Saf Health Care. 2008;17(5):360-3. doi:10.1136/qshc.2007.023242.
https://psnet.ahrq.gov/issue/educationa…
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psnet.ahrq.gov/node/43233/psn-pdf
June 17, 2014 - Quality and safety education for nurses: a nursing
leadership skills exercise.
June 17, 2014
Harrison EM. Quality and safety education for nurses: a nursing leadership skills exercise. J Nurs Educ.
2014;53(6):356-361. doi:10.3928/01484834-20140512-01.
https://psnet.ahrq.gov/issue/quality-and-safety-education-nurse…
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psnet.ahrq.gov/node/40500/psn-pdf
June 01, 2011 - Meaningful use and certification of health information
technology: what about safety?
June 1, 2011
Hoffman S, Podgurski A. Meaningful use and certification of health information technology: what about
safety? J Law Med Ethics. 2011;39(suppl 1):77-80. doi:10.1111/j.1748-720X.2011.00572.x.
https://psnet.ahrq.gov/iss…
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psnet.ahrq.gov/node/45084/psn-pdf
April 27, 2016 - Nurses say stress interferes with caring for their patients.
April 27, 2016
Yu A. Health Shots. National Public Radio. April 15, 2016.
https://psnet.ahrq.gov/issue/nurses-say-stress-interferes-caring-their-patients
Many health care professionals exhibit symptoms of burnout, which may impair their ability to maintai…
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psnet.ahrq.gov/node/36636/psn-pdf
January 14, 2011 - Nursing home administrators' opinions of the resident
safety culture in nursing homes.
January 14, 2011
Castle NG, Handler S, Engberg J, et al. Nursing home administrators' opinions of the resident safety
culture in nursing homes. Health Care Manage Rev. 2007;32(1):66-76.
https://psnet.ahrq.gov/issue/nursing-home-…
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psnet.ahrq.gov/node/36542/psn-pdf
August 06, 2008 - Pediatric rapid response teams in the academic medical
center.
August 6, 2008
Mistry KP, Turi J, Hueckel RM, et al. Pediatric Rapid Response Teams in the Academic Medical Center.
Clin Pediatr Emerg Med. 2006;7(4). doi:10.1016/j.cpem.2006.08.010.
https://psnet.ahrq.gov/issue/pediatric-rapid-response-teams-academic-…
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psnet.ahrq.gov/node/37788/psn-pdf
May 28, 2008 - Durable improvements in efficiency, safety, and
satisfaction in the operating room.
May 28, 2008
Heslin MJ, Doster BE, Daily SL, et al. Durable improvements in efficiency, safety, and satisfaction in the
operating room. J Am Coll Surg. 2008;206(5):1083-9; discussion 1089-90.
doi:10.1016/j.jamcollsurg.2008.02.006.
…
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psnet.ahrq.gov/node/38967/psn-pdf
June 09, 2011 - Eight rights of safe electronic health record use.
June 9, 2011
Sittig DF, Singh H. Eight rights of safe electronic health record use. JAMA. 2009;302(10):1111-3.
doi:10.1001/jama.2009.1311.
https://psnet.ahrq.gov/issue/eight-rights-safe-electronic-health-record-use
Incorporating human factors engineering models, t…
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psnet.ahrq.gov/node/42195/psn-pdf
October 08, 2013 - Medication errors in the management of anaphylaxis in a
pediatric emergency department.
October 8, 2013
Benkelfat R, Gouin S, Larose G, et al. Medication errors in the management of anaphylaxis in a pediatric
emergency department. J Emerg Med. 2013;45(3):419-425. doi:10.1016/j.jemermed.2012.11.069.
https://psnet.a…
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psnet.ahrq.gov/node/41075/psn-pdf
January 18, 2012 - Wide heart monitor use tied to missed alarms.
January 18, 2012
Funk M, Winkler CG, May JL, et al. Unnecessary arrhythmia monitoring and underutilization of ischemia
and QT interval monitoring in current clinical practice: baseline results of the Practical Use of the Latest
Standards for Electrocardiography trial. J…
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psnet.ahrq.gov/node/42826/psn-pdf
December 18, 2013 - Improvement of medication event interventions through
use of an electronic database.
December 18, 2013
Merandi J, Morvay S, Lewe D, et al. Improvement of medication event interventions through use of an
electronic database. Am J Health Syst Pharm. 2013;70(19):1708-14. doi:10.2146/ajhp130021.
https://psnet.ahrq.gov…
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psnet.ahrq.gov/node/47280/psn-pdf
October 15, 2018 - Master of Healthcare Quality and Safety.
October 15, 2018
Harvard Medical School.
https://psnet.ahrq.gov/issue/master-healthcare-quality-and-safety
This one-year degree program will train clinicians and health care executives to lead safety and quality
improvement initiatives. Participants will learn how to develo…
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psnet.ahrq.gov/node/35395/psn-pdf
September 10, 2009 - Toward a theoretical approach to medical error reporting
system research and design.
September 10, 2009
Karsh B-T, Escoto KH, Beasley JW, et al. Toward a theoretical approach to medical error reporting system
research and design. Appl Ergon. 2006;37(3):283-95.
https://psnet.ahrq.gov/issue/toward-theoretical-approa…
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psnet.ahrq.gov/node/34601/psn-pdf
January 26, 2009 - Strategies and tips for maximizing failure mode and effect
analysis in your organization.
January 26, 2009
Chicago, IL: American Society of Healthcare Risk Management; 2002.
https://psnet.ahrq.gov/issue/strategies-and-tips-maximizing-failure-mode-and-effect-analysis-your-
organization
The implementation and appli…
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psnet.ahrq.gov/node/43216/psn-pdf
June 25, 2014 - Banning the handshake from the health care setting.
June 25, 2014
Sklansky M, Nadkarni N, Ramirez-Avila L. Banning the handshake from the health care setting. JAMA.
2014;311(24):2477-8.
https://psnet.ahrq.gov/issue/banning-handshake-health-care-setting
Hand hygiene is an important practice that prevents transmissi…